NPI Registry.org

Daniel Theodore Boeder

NPI Registration Record

Provider / OrganizationNPIDate Certified
DANIEL THEODORE BOEDER16690398222021-07-12

Daniel Theodore Boeder is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669039822. Registration indicates Daniel Theodore Boeder is a provider of access to mental health/behavioral health providers services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) Access to Mental Health/Behavioral Health Providers (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Child & Adolescent Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider NameDr. Daniel Theodore Boeder
Practice Office Address319 E MADISON ST FL 3
SPRINGFIELD, IL US
Practice Office Telephone2175456900
Practice Office Fax2175856893
Mailing AddressPO BOX 19642
SPRINGFIELD, IL 627949642 US
Business Telephone2176568229
Business Fax2175856893
HPT Codes
CodePractice
License No
State
2084P0800XAccess to Mental Health/Behavioral Health Providers
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry & Neurology: Psychiatry

Behavioral Health/Substance Abuse/Psychiatry

Psychiatry & Neurology Psychiatry
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
125.073980
IL
2084P0804X PRIMARYAccess to Mental Health/Behavioral Health Providers
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry & Neurology: Child & Adolescent Psychiatry

Behavioral Health/Substance Abuse/Psychiatry

Psychiatry & Neurology Child & Adolescent Psychiatry
Allopathic & Osteopathic Physicians
Psychiatry & Neurology
125.073980
IL
OPI Codes

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